QUALITY OF CARE ROUNDS - Nursing Home Help

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OTHER AREAS “U” “S” COMMENTSLaundry machinery is clean and operatingHousekeeping carts are cleanMechanical room is kept lockedChemicals are properly storedGenerator tested weekly. Records indicate routinetesting/maintenanceWater temperature logs are maintained (check for accuracy)Separate clean and soiled linenSAFETY “U” “S” COMMENTSReview OSHA 300 log, 5 years on file with signatureCheck for MSDS in each departmentRecords indicate employees are trained on use ofchemicals/documentation on fileComplete book of MSDS’s on file in ED officeAll chemicals used are labeled properlyChemicals are stored correctly/all departmentsEmployees are informed on Hepatitis B (check personnel files fordocumentationExposure Control plan written and inservicedAlarm system in good repair/staff inservicedHousekeeping carts are in view of workerWet floor/caution signs being used4.13
Hazardous waste stored correctly/door to room markedappropriatelyGait belt policy enforcedProper use of protective material in laundryOSHA sharps container in appropriate placesDesignated eye wash stations per OSHA policyPERSONNEL RECORDS “U” “S” COMMENTSYearly physical, PPD/chest x-ray on fileHealth records kept for 30 years + length of employment. Inseparate fileHepatitis B consent/decline form filedJob description categorized per OSHA rulesOrientation check list signed1-9 immigration form in separate fileVerification of CNA training/certificateVerification of current license (proof)Reference checks completed on all applicantsDIETARY “U” “S” COMMENTSRefrigerator, freezer temps checked & documentedDish machine temp checked/documented dailyFood/steam table checked/recorded in each mealFoods in refrigerator covered/labeled/dated4.14
Page 1 and 2: Quality ofCare RoundsUnlike the Moc
Page 4 and 5: RR SS PE IC EP F-Tag Observations S
Page 12 and 13: Exit lightsRESIDENT ROOMS “U”
Page 16 and 17: Thawing foods put in refrigerator c
Page 18 and 19: SS follows upon discharge needs of
Page 20 and 21: - re-feeding/walk and dine- bowel/b
Page 22 and 23: Pumps/poles and equipment cleanWEIG
Page 24 and 25: No expired medications on handSharp
Page 26 and 27: Medical Director review of all repo
Page 28 and 29: MDS/CARE PLAN TRACKING FORMName: Ro
Page 30 and 31: HOT HOLDINGHot holding unit / steam
Page 32 and 33: Step ladders are sturdy and in good
Page 34 and 35: Yes No Buckets, tubs and pans are i
Page 36 and 37: Yes No Cleaning schedules posted an
Page 38 and 39: INFECTION CONTROL AND SAFETY SURVEI
Page 40 and 41: Yes No Electric cords for lights, r
Page 52 and 53: Yes No All wandering bracelets are
Page 54 and 55: Extended menusavailableDumpster lid
Page 56 and 57: Housekeeping Carts, Equipment, and
Page 58 and 59: Facility InspectionFacility _______
Page 60 and 61: Facility Inspection ReportPossibleA
Page 62 and 63: Facility Inspection ReportAREAScore
Page 64 and 65:
Figure A.7Survey tag assignment (co
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72:
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QUALITY OF CARE ROUNDS - Nursing Home Help

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